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Hepatoportoenterostomy - Wikipedia

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<div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Type of surgerical treatment</div> <div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Medical intervention</div> <style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox"><tbody><tr><th colspan="2" class="infobox-above" style="background-color: lightblue">Hepatoportoenterostomy</th></tr><tr><td colspan="2" class="infobox-image"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Bilatresia.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/b/be/Bilatresia.jpg/280px-Bilatresia.jpg" decoding="async" width="280" height="211" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/be/Bilatresia.jpg/420px-Bilatresia.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/be/Bilatresia.jpg/560px-Bilatresia.jpg 2x" data-file-width="1200" data-file-height="904" /></a></span><div class="infobox-caption">Intraoperative view of complete biliary atresia.</div></td></tr><tr><th scope="row" class="infobox-label">Other names</th><td class="infobox-data">Kasai portoenterostomy</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/ICD-10_Procedure_Coding_System" title="ICD-10 Procedure Coding System">ICD-10-PCS</a></th><td class="infobox-data">0F194ZB</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/ICD-9-CM_Volume_3" title="ICD-9-CM Volume 3">ICD-9-CM</a></th><td class="infobox-data"><a rel="nofollow" class="external text" href="http://icd9cm.chrisendres.com/index.php?srchtype=procs&amp;srchtext=51.37&amp;Submit=Search&amp;action=search">51.37</a></td></tr><tr class="noprint"><td colspan="2" class="infobox-full-data"><div style="text-align: right;">&#91;<a href="https://www.wikidata.org/wiki/Q1439271" class="extiw" title="d:Q1439271">edit on Wikidata</a>]</div></td></tr></tbody></table> <p>A <b>hepatoportoenterostomy</b> or <b>Kasai portoenterostomy</b> is a <a href="/wiki/Surgery" title="Surgery">surgical</a> treatment performed on infants with Type IVb <a href="/wiki/Choledochal_cysts" title="Choledochal cysts">choledochal cyst</a> and <a href="/wiki/Biliary_atresia" title="Biliary atresia">biliary atresia</a> to allow for <a href="/wiki/Bile_drainage" class="mw-redirect" title="Bile drainage">bile drainage</a>. In these infants, the <a href="/wiki/Bile" title="Bile">bile</a> is not able to drain normally from the small <a href="/wiki/Bile_duct" title="Bile duct">bile ducts</a> within the <a href="/wiki/Liver" title="Liver">liver</a> into the larger bile ducts that connect to the <a href="/wiki/Gall_bladder" class="mw-redirect" title="Gall bladder">gall bladder</a> and <a href="/wiki/Small_intestine" title="Small intestine">small intestine</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (February 2022)">citation needed</span></a></i>&#93;</sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Procedure">Procedure</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hepatoportoenterostomy&amp;action=edit&amp;section=1" title="Edit section: Procedure"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The surgery involves exposing the <a href="/wiki/Porta_hepatis" title="Porta hepatis">porta hepatis</a> (the area of the liver from which bile should drain) by radical excision of all bile duct tissue up to the liver capsule and <a href="/wiki/Anastomosis" title="Anastomosis">attaching</a> a <a href="/wiki/Roux-en-Y_anastomosis" title="Roux-en-Y anastomosis">Roux-en-Y</a> loop of jejunum to the exposed liver capsule above the bifurcation of the portal vein creating a portoenterostomy.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> The rationale for this approach is that minute residual bile duct remnants may be present in the fibrous tissue of the porta hepatis and thus provide direct connection with the intrahepatic ductule system to allow bile drainage.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p><p>This procedure was developed in 1951 by Japanese biliary and hepatic pediatric surgeon <a href="/wiki/Morio_Kasai" title="Morio Kasai">Morio Kasai</a> (1922–2008).<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Prognosis">Prognosis</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hepatoportoenterostomy&amp;action=edit&amp;section=2" title="Edit section: Prognosis"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Prognosis of this condition/procedure comprises the following:<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (February 2022)">citation needed</span></a></i>&#93;</sup> </p> <ul><li>If performed before 60 days of age, 80% of children achieve some <a href="/wiki/Bile" title="Bile">bile</a> drainage</li> <li>Prognosis is progressively worse the later surgery is done</li> <li>Post-operatively, <a href="/wiki/Cholangitis" class="mw-redirect" title="Cholangitis">cholangitis</a> and <a href="/wiki/Malabsorption" title="Malabsorption">malabsorption</a> are common</li> <li>Many children with biliary atresia will require <a href="/wiki/Liver_transplantation" title="Liver transplantation">liver transplantation</a> despite the attempted surgical repair, although on occasion, it can be delayed until adulthood.<sup id="cite_ref-Segura_6-0" class="reference"><a href="#cite_note-Segura-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup></li></ul> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hepatoportoenterostomy&amp;action=edit&amp;section=3" title="Edit section: See also"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/List_of_surgeries_by_type" class="mw-redirect" title="List of surgeries by type">List of surgeries by type</a></li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hepatoportoenterostomy&amp;action=edit&amp;section=4" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist 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(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation book cs1"><i>Bailey &amp; Love's Short Practice of Surgery</i>. Boca Raton, Florida: CRC Press. 2013. p.&#160;1105. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a>&#160;<a href="/wiki/Special:BookSources/9781444121278" title="Special:BookSources/9781444121278"><bdi>9781444121278</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Bailey+%26+Love%27s+Short+Practice+of+Surgery&amp;rft.place=Boca+Raton%2C+Florida&amp;rft.pages=1105&amp;rft.pub=CRC+Press&amp;rft.date=2013&amp;rft.isbn=9781444121278&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AHepatoportoenterostomy" class="Z3988"></span></span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-2">^</a></b></span> <span class="reference-text">Behrman et al. Nelson Textbook of Pediatrics. Philadelphia: W.B. Saunders Company, 2000.</span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFRyoji_Ohi2009" class="citation journal cs1">Ryoji Ohi (2009). <a rel="nofollow" class="external text" href="http://www.jpedsurg.org/article/S0022-3468(09)00002-5/abstract">"Morio Kasai, MD 1922-2008"</a>. <i>Journal of Pediatric Surgery</i>. <b>44</b> (3). Elsevier Inc.: 481–482. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.jpedsurg.2009.01.001">10.1016/j.jpedsurg.2009.01.001</a></span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Journal+of+Pediatric+Surgery&amp;rft.atitle=Morio+Kasai%2C+MD+1922-2008&amp;rft.volume=44&amp;rft.issue=3&amp;rft.pages=481-482&amp;rft.date=2009&amp;rft_id=info%3Adoi%2F10.1016%2Fj.jpedsurg.2009.01.001&amp;rft.au=Ryoji+Ohi&amp;rft_id=http%3A%2F%2Fwww.jpedsurg.org%2Farticle%2FS0022-3468%2809%2900002-5%2Fabstract&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AHepatoportoenterostomy" class="Z3988"></span></span> </li> <li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text"><a rel="nofollow" class="external free" href="http://www.chp.edu">http://www.chp.edu</a>&#160;› ...&#160;› Educational Resources&#160;› Liver Transplant Patient Procedures</span> </li> <li id="cite_note-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-5">^</a></b></span> <span class="reference-text"><a href="https://de.wikipedia.org/wiki/Kasai_Morio" class="extiw" title="de:Kasai Morio">de:Kasai Morio</a></span> </li> <li id="cite_note-Segura-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-Segura_6-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFSegura-Sampedro_J.J.C._Bernal-BellidoL.M._Marín-GómezG._Suárez-Artacho2015" class="citation journal cs1">Segura-Sampedro J.J.; C. 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"Outcomes of Liver Transplantation During Adulthood After Kasai Portoenterostomy Due to Biliary Atresia". <i>Transplant Proc</i>. <b>47</b> (9): 2643–2644. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.transproceed.2015.09.058">10.1016/j.transproceed.2015.09.058</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/26680059">26680059</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Transplant+Proc&amp;rft.atitle=Outcomes+of+Liver+Transplantation+During+Adulthood+After+Kasai+Portoenterostomy+Due+to+Biliary+Atresia&amp;rft.volume=47&amp;rft.issue=9&amp;rft.pages=2643-2644&amp;rft.date=2015-11&amp;rft_id=info%3Adoi%2F10.1016%2Fj.transproceed.2015.09.058&amp;rft_id=info%3Apmid%2F26680059&amp;rft.au=Segura-Sampedro+J.J.&amp;rft.au=C.+Bernal-Bellido&amp;rft.au=L.M.+Mar%C3%ADn-G%C3%B3mez&amp;rft.au=G.+Su%C3%A1rez-Artacho&amp;rft.au=J.+Serrano-D%C3%ADez-Canedo&amp;rft.au=J.M.+%C3%81lamo-Mart%C3%ADnez&amp;rft.au=F.J.+Padillo-Ruiz&amp;rft.au=M.%C3%81.+G%C3%B3mez-Bravo&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AHepatoportoenterostomy" class="Z3988"></span></span> </li> </ol></div></div> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1129693374">.mw-parser-output .hlist dl,.mw-parser-output .hlist ol,.mw-parser-output .hlist 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href="/wiki/Esophagogastroduodenoscopy" title="Esophagogastroduodenoscopy">Esophagogastroduodenoscopy</a></li></ul></li> <li><a href="/wiki/Barium_swallow" class="mw-redirect" title="Barium swallow">Barium swallow</a></li> <li><a href="/wiki/Upper_gastrointestinal_series" title="Upper gastrointestinal series">Upper gastrointestinal series</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Human_gastrointestinal_tract#Lower_gastrointestinal_tract" class="mw-redirect" title="Human gastrointestinal tract">Lower GI tract</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Small_bowel" scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Small_intestine" title="Small intestine">Small bowel</a></th><td 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class="navbox-group" style="width:1%"><a href="/wiki/Colon_(anatomy)" class="mw-redirect" title="Colon (anatomy)">Large bowel</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Appendectomy" title="Appendectomy">Appendectomy</a></li> <li><a href="/wiki/Colectomy" title="Colectomy">Colectomy</a></li> <li><a href="/wiki/Colonic_polypectomy" title="Colonic polypectomy">Colonic polypectomy</a></li> <li><a href="/wiki/Colostomy" title="Colostomy">Colostomy</a></li> <li><a href="/wiki/Hartmann%27s_operation" title="Hartmann&#39;s operation">Hartmann's operation</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Rectum" title="Rectum">Rectum</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Abdominoperineal_resection" title="Abdominoperineal resection">Abdominoperineal resection</a></li> <li><a href="/wiki/Lower_anterior_resection" title="Lower anterior resection">Lower anterior resection</a></li> <li><a href="/wiki/Total_mesorectal_excision" title="Total mesorectal excision">Total mesorectal excision</a></li> <li><a href="/wiki/Ventral_rectopexy" title="Ventral rectopexy">Ventral rectopexy</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Anal_canal" title="Anal canal">Anal canal</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Anal_sphincterotomy" title="Anal sphincterotomy">Anal sphincterotomy</a></li> <li><a href="/wiki/Anorectal_manometry" title="Anorectal manometry">Anorectal manometry</a></li> <li><a href="/wiki/Lateral_internal_sphincterotomy" title="Lateral internal sphincterotomy">Lateral internal sphincterotomy</a></li> <li><a href="/wiki/Rubber_band_ligation" title="Rubber band ligation">Rubber band ligation</a></li> <li><a href="/wiki/Transanal_hemorrhoidal_dearterialization" title="Transanal hemorrhoidal dearterialization">Transanal hemorrhoidal dearterialization</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Medical_imaging" title="Medical imaging">Medical imaging</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Endoscopy" title="Endoscopy">Endoscopy</a>: <a href="/wiki/Colonoscopy" title="Colonoscopy">Colonoscopy</a></li> <li><a href="/wiki/Anoscopy" title="Anoscopy">Anoscopy</a></li> <li><a href="/wiki/Capsule_endoscopy" title="Capsule endoscopy">Capsule endoscopy</a></li> <li><a href="/wiki/Enteroscopy" title="Enteroscopy">Enteroscopy</a></li> <li><a href="/wiki/Proctoscopy" title="Proctoscopy">Proctoscopy</a></li> <li><a href="/wiki/Sigmoidoscopy" title="Sigmoidoscopy">Sigmoidoscopy</a></li></ul> <ul><li><a href="/wiki/Abdominal_ultrasonography" title="Abdominal ultrasonography">Abdominal ultrasonography</a></li> <li><a href="/wiki/Defecography" title="Defecography">Defecography</a></li> <li><a href="/wiki/Double-contrast_barium_enema" title="Double-contrast barium enema">Double-contrast barium enema</a></li> <li><a href="/wiki/Endoanal_ultrasound" title="Endoanal ultrasound">Endoanal ultrasound</a></li> <li><a href="/wiki/Enteroclysis" class="mw-redirect" title="Enteroclysis">Enteroclysis</a></li> <li><a href="/wiki/Lower_gastrointestinal_series" title="Lower gastrointestinal series">Lower gastrointestinal series</a></li> <li><a href="/wiki/Small-bowel_follow-through" class="mw-redirect" title="Small-bowel follow-through">Small-bowel follow-through</a></li> <li><a href="/wiki/Transrectal_ultrasonography" title="Transrectal ultrasonography">Transrectal ultrasonography</a></li> <li><a href="/wiki/Virtual_colonoscopy" title="Virtual colonoscopy">Virtual colonoscopy</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Stool_test" title="Stool test">Stool tests</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Fecal_fat_test" title="Fecal fat test">Fecal fat test</a></li> <li><a href="/wiki/Fecal_pH_test" title="Fecal pH test">Fecal pH test</a></li> <li><a href="/wiki/Stool_guaiac_test" title="Stool guaiac test">Stool guaiac test</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Accessory_digestive_gland" class="mw-redirect" title="Accessory digestive gland">Accessory</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Liver" title="Liver">Liver</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Artificial_extracorporeal_liver_support" class="mw-redirect" title="Artificial extracorporeal liver support">Artificial extracorporeal liver support</a> <ul><li><a href="/wiki/Bioartificial_liver_device" class="mw-redirect" title="Bioartificial liver device">Bioartificial liver devices</a></li> <li><a href="/wiki/Liver_dialysis" class="mw-redirect" title="Liver dialysis">Liver dialysis</a></li></ul></li> <li><a href="/wiki/Hepatectomy" title="Hepatectomy">Hepatectomy</a></li> <li><a href="/wiki/Liver_biopsy" title="Liver biopsy">Liver biopsy</a></li> <li><a href="/wiki/Liver_transplantation" title="Liver transplantation">Liver transplantation</a></li> <li><a href="/wiki/Portal_hypertension" title="Portal hypertension">Portal hypertension</a> <ul><li><a href="/wiki/Transjugular_intrahepatic_portosystemic_shunt" title="Transjugular intrahepatic portosystemic shunt">Transjugular intrahepatic portosystemic shunt</a> [TIPS]</li> <li><a href="/wiki/Distal_splenorenal_shunt_procedure" title="Distal splenorenal shunt procedure">Distal splenorenal shunt procedure</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Gallbladder" title="Gallbladder">Gallbladder</a>, <a href="/wiki/Bile_duct" title="Bile duct">bile duct</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cholecystectomy" title="Cholecystectomy">Cholecystectomy</a></li> <li><a href="/wiki/Cholecystostomy" title="Cholecystostomy">Cholecystostomy</a></li> <li><a href="/wiki/Endoscopic_retrograde_cholangiopancreatography" title="Endoscopic retrograde cholangiopancreatography">ERCP</a></li> <li><a class="mw-selflink selflink">Hepatoportoenterostomy</a></li></ul> <ul><li><a href="/wiki/Medical_imaging" title="Medical imaging">Medical imaging</a>: <a href="/wiki/Cholangiography" title="Cholangiography">Cholangiography</a> <ul><li><a href="/wiki/Intravenous_cholangiography" title="Intravenous cholangiography">IV</a></li> <li><a href="/wiki/Magnetic_resonance_cholangiopancreatography" title="Magnetic resonance cholangiopancreatography">MRCP</a></li> <li><a href="/wiki/Percutaneous_transhepatic_cholangiography" title="Percutaneous transhepatic cholangiography">PTC</a></li></ul></li> <li><a href="/wiki/Cholecystography" title="Cholecystography">Cholecystography</a></li> <li><a href="/wiki/Cholescintigraphy" title="Cholescintigraphy">Cholescintigraphy</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Pancreas" title="Pancreas">Pancreas</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Frey%27s_procedure" title="Frey&#39;s procedure">Frey's procedure</a></li> <li><a href="/wiki/Pancreas_transplantation" title="Pancreas transplantation">Pancreas transplantation</a></li> <li><a href="/wiki/Pancreatectomy" title="Pancreatectomy">Pancreatectomy</a></li> <li><a href="/wiki/Pancreaticoduodenectomy" title="Pancreaticoduodenectomy">Pancreaticoduodenectomy</a></li> <li><a href="/wiki/Puestow_procedure" title="Puestow procedure">Puestow procedure</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Abdominopelvic_cavity" title="Abdominopelvic cavity">Abdominopelvic</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Peritoneum" scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Peritoneum" title="Peritoneum">Peritoneum</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Diagnostic_peritoneal_lavage" title="Diagnostic peritoneal lavage">Diagnostic peritoneal lavage</a></li> <li><a href="/wiki/Intraperitoneal_injection" title="Intraperitoneal injection">Intraperitoneal injection</a></li> <li><a href="/wiki/Laparoscopy" title="Laparoscopy">Laparoscopy</a></li> <li><a href="/wiki/Omentopexy" title="Omentopexy">Omentopexy</a></li> <li><a href="/wiki/Paracentesis" title="Paracentesis">Paracentesis</a></li> <li><a href="/wiki/Peritoneal_dialysis" title="Peritoneal dialysis">Peritoneal dialysis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Hernia" title="Hernia">Hernia</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Hernia_repair" title="Hernia repair">Hernia repair</a></li> <li><a href="/wiki/Inguinal_hernia_surgery" title="Inguinal hernia surgery">Inguinal hernia surgery</a></li> <li><a href="/wiki/Femoral_hernia_repair" class="mw-redirect" title="Femoral hernia repair">Femoral hernia repair</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Laparotomy" title="Laparotomy">Laparotomy</a> <ul><li><a href="/wiki/Exploratory_laparotomy" title="Exploratory laparotomy">Exploratory laparotomy</a></li></ul></li> <li><a href="/wiki/Rapid_urease_test" title="Rapid urease test">Rapid urease test</a> / <a href="/wiki/Urea_breath_test" title="Urea breath test">Urea breath test</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Clinical_prediction_rule" title="Clinical prediction rule">Clinical prediction rules</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Model_for_End-Stage_Liver_Disease" title="Model for End-Stage Liver Disease">MELD</a></li> <li><a href="/wiki/Pediatric_end-stage_liver_disease" title="Pediatric end-stage liver disease">PELD</a></li> <li><a href="/wiki/United_Kingdom_Model_for_End-Stage_Liver_Disease" title="United Kingdom Model for End-Stage Liver Disease">UKELD</a></li> <li><a href="/wiki/Child%E2%80%93Pugh_score" title="Child–Pugh score">Child–Pugh score</a></li> <li><a href="/wiki/Ranson_criteria" title="Ranson criteria">Ranson criteria</a></li> <li><a href="/wiki/Milan_criteria" title="Milan criteria">Milan criteria</a></li></ul> </div></td></tr></tbody></table></div> <!-- NewPP limit report 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